The modification of sexual fantasies: A combined treatment approach to the reduction of deviant sexual behavior

A consideration of the literature on the behavioral therapy of sexual deviations suggests that the direct modification of fantasies will provide an effective treatment method. A combination of two procedures for modifying the content of sexual fantasies is outlined and the results of treatment with twelve patients using this combined approach are described. The hypothesis that the modification of fantasies would have a direct effect on both deviant behavior and attitudes toward deviant material, was not unequivocally supported. However, the program had eliminated deviant behavior in all subjects by the end of treatment, and this was maintained at follow-up in at least 75 per cent of the patients.     

Reduction of sadistic sexual arousal by olfactory aversion: a case study

A sexual sadist was treated by an olfactory aversion procedure for eight weeks. Pre-treatment assessment of sexual arousal showed high levels of response to sadistic stimuli as well as high arousal to non-sadistic heterosexual stimuli. In treatment the inhalation of the gas of an odoriferous chemical agent, valeric acid, was paired with slide presentations of sadistic materials while penile erection was monitored. The aversive stimulus immediately and permanently suppressed the response for the duration of treatment. In separate measurement sessions, with valeric acid absent, deviant response remained suppressed and nondeviant response was unaffected. Post-treatment reassessment revealed very low levels of response to sadistic stimuli. Follow-up sessions showed that the deviant response was absent eight months following the conclusion of treatment.     

Psychopharmacological therapy of deviant sexual behavior

Psychopharmacological approaches to controlling male deviant sexual behavior, especially sexual recidivism and sexual deviants on probation, have been reported in psychiatric literature. In Europe, the drug cyproterone acetate, and in the United States, medroxyprogesterone acetate, Provera, and in the long-acting form, Depo-Provera, have all benefitted exhibitionists and pedophiliacs, and reduced sex drive in sexual deviants. The combination of pharmacotherapy and either psychotherapy or behavioral therapy has been the most effective approach to reducing the sex drive of sexual deviants.     

Relationship between impulsiveness and deviant behavior among adolescents in the classroom: age and sex differences

To assess the relationship between impulsiveness and deviant behavior among 103 adolescents, taking into account their sociodemographic characteristics, the Barratt Impulsiveness Scale and a self-assessment measure with regard to disruptive and deviant behaviors which had occurred in the last 90 days were used. The results show that impulsiveness and disruptive behavior in the classroom were related to deviant behavior outside of the classroom. Therefore, age and sex explained the relationship between impulsiveness and behavior. The older adolescents and the girls showed less disruptive behaviors than the younger participants and the boys; both variables showed an interactive effect on disruptive behavior. The age at which sexual activity commenced and the number of sexual partners were also significantly related to impulsiveness and disruptive and deviant behavior. Similarly, impulsiveness was shown to have a significant relationship with disruptive and deviant behavior, and disruptive behavior was shown to have a significant relationship with deviant behavior.     

Relationships between conflict,affect and deviant sexual behaviors in rapists and pedophiles

The aim of the current study was to determine the relationship in sexual offenders between conflict, affective states and particular sexual behaviors (fantasies and masturbatory activities while having such fantasies). To this end we developed the “Fantasy Report”, a self-assessment method for recording affective components and sexual behaviors. Thirteen rapists and 9 pedophiles filled out the Fantasy Report every 2 days for a period of 60 days. In rapists, negative mood and the presence of conflicts coincided with both overwhelming deviant sexual fantasies and increased masturbatory activities while having such fantasies. Furthermore, the emotions most frequently reported by rapists following conflicts were loneliness, humiliation, anger and feelings of inadequacy and rejection. Affective components, however, were not associated with nondeviant sexual behaviors. For the pedophiles, the data revealed a significant relationship only between negative moods and deviant sexual fantasies. These data are interpreted to mean that, in sexual offenders, negative affect is a crucial component in the chain that leads to deviant sexual behaviors.     

Research directions in the evaluation and treatment of sex offenders: An analysis

A review of the research on early and current techniques for evaluating and treating male sex offenders is presented, with emphasis on biological and behavioral therapies. Biological techniques found to be most promising include two types of antiandrogen hormone therapy: medroxyprogesterone acetate and cyproterone acetate. Behavioral techniques which have produced evidence of effectiveness include methods to eliminate deviant sexual behavior and methods to increase appropriate sexual behavior. The methodological shortcomings in the research of both biological and behavioral therapies are discussed, and new directions for future research are proposed.     

Factors associated with erection in adolescent sex offenders

A majority of adult child molesters report that their deviant interest began prior to the age of 18. This illustrates the need to evaluate adolescents who have molested children. Since self-report of deviant interest is rare in adolescent offenders, psychophysiologic assessment is necessary to help to determine the extent for a deviant interest pattern. The current study was designed to determine what factors are associated with erectile responding to age-inappropriate stimuli in an adolescent sex offender population. Factors studied were (a) admit/deny, (b) history of physical abuse, (c) history of sexual abuse, (d) history of nonsex arrests, and (e) incest/nonincest. The dependent variables were two pedophile indices, a relative measure of deviant to nondeviant arousal. Results indicated that history of sexual abuse was associated with more deviant erectile responding in those adolescents who had molested young boys. The possibility of adolescents modeling their own victimization is discussed.     

The effects of masturbatory reconditioning with nonfamilial child molesters.

Abel and Annon's (Reducing deviant sexual arousal through satisfaction, Denver, Colo., 1982) suggested combination of 'directed masturbation' and 'satiation' to alter deviant sexual preferences, was applied to 10 nonfamilial child molesters. Post-treatment assessments revealed significant reductions in deviant arousal as was expected, but unfortunately there were also reductions in appropriate arousal although these changes did not achieve statistical significance. The results are discussed in terms of their meaning but it is concluded that empirical support for these clinically popular procedures remains weak.     

An ecological analysis of the effects of deviant peer clustering on sexual promiscuity, problem behavior, and childbearing from early adolescence to adulthood: an enhancement of the life history framework

The authors propose that peer relationships should be included in a life history perspective on adolescent problem behavior. Longitudinal analyses were used to examine deviant peer clustering as the mediating link between attenuated family ties, peer marginalization, and social disadvantage in early adolescence and sexual promiscuity in middle adolescence and childbearing by early adulthood. Specifically, 998 youths, along with their families, were assessed at age 11 years and periodically through age 24 years. Structural equation modeling revealed that the peer-enhanced life history model provided a good fit to the longitudinal data, with deviant peer clustering strongly predicting adolescent sexual promiscuity and other correlated problem behaviors. Sexual promiscuity, as expected, also strongly predicted the number of children by ages 22-24 years. Consistent with a life history perspective, family social disadvantage directly predicted deviant peer clustering and number of children in early adulthood, controlling for all other variables in the model. These data suggest that deviant peer clustering is a core dimension of a fast life history strategy, with strong links to sexual activity and childbearing. The implications of these findings are discussed with respect to the need to integrate an evolutionary-based model of self-organized peer groups in developmental and intervention science.     

“Log on to sex”: Some notes on the carnal computer and erotic cyberspace as an emerging research frontier

Innovation in technology often provides new opportunities in the pursuit of deviance. The response or adaptation to these new opportunities takes the form of deviant technicways. New technology in the case of the computer promises to have an applicability for carnal behavior that is socially volatile in both its perversity and import. Through on‐line bulletin boards dedicated to particular modes of sexual behavior, computer users with special sexual predilections can communicate with persons who share similar interests throughout the world. Computer communication of the erotic variety may involve mild flirtations, seeking and sharing information about sexual services available in different cities and countries, and seeking and sharing information about specific varieties of deviant sexual behavior. The computer has been used by some individuals to obtain child pornography from abroad, to contact youngsters to try to arrange meetings for sexual purposes, sometimes to misrepresent one's sexual identity ("gender bending") for various reasons ranging from seemingly harmless “on‐line transsexualism” (Van Gelder, 1985) to more convoluted (and possibly more sinister) purposes. The appearance of computer erotica can be interpreted at various functional levels and holds considerable import for social behavior. Just as the computer has begun to revolutionize social life, it may also revolutionize crime and the parameters of deviant sexual behavior.     

Dynamics of the deviant sale

This paper examines the dynamics of male prostitution for purposes of identifying some of the principal characteristics of the deviant sale. The deviant sexual sale consists of seven stages, each involving an important task which the prostitute and customer accomplish together: the partners make contact, assess one another's suitability, agree to a sale, come to terms on the conditions of the sale, move to a protected setting, make the exchange, and terminate the affair. The sexual sale is compared with an ideal‐typical model of the respectable sale in order to identify the generic features of the deviant sale. The deviant sale is relatively tenuous; the partners must attend to and deal with a wide range of matters that often are glossed over or taken for granted in respectable sales. The sale also is relatively dangerous; deviants face official sanctions and exploitation by their associates. To manage these risks, the partners rely on themselves, operating discreetly and taking special precautions. Some hypotheses on variation in the dynamics of deviant sales are developed.     

Examining the Impact of Technology on Exhibitionistic Behavior

Contemporary sexual behavior cannot be fully understood without considering the effects of smartphones and social networking websites, both of which have provided additional avenues for consensual sexual activity. However, technology has also created new ways to engage in deviant behavior that may be similar to exhibitionism (exposing one’s genitals to unsuspecting individuals). Participants completed a survey about traditional exhibitionistic behaviors (flashing) and technological sexual behaviors such as sending sexually explicit pictures. A small percentage of participants reported engaging in both technological and traditional exhibitionistic behavior, which may be indicative of an electronic manifestation of deviant sexual behavior.     

From racial discrimination to risky sex: prospective relations involving peers and parents

This study investigated how early experience with racial discrimination affected the subsequent risky sexual behaviors of a diverse sample of African American youths (N = 745). The analyses focused on 3 risk-promoting factors thought to mediate the hypothesized discrimination → risky sex relation: negative affect, affiliation with deviant peers, and favorable attitudes toward risky sex. In addition, attentive parenting was examined as a protective factor. Analyses using structural equation modeling revealed that youths who perceived more racial discrimination at age 10 or 11 were engaging in more sexual risk taking at age 18 or 19. This relation was mediated by the hypothesized risk-promoting factors via pathways that were consistent with our conceptual model. Results also indicated a prospective reciprocal relation between parenting and children's deviant affiliations: deviant peer affiliations at age 10 or 11 predicted more attentive parenting behaviors by the parents; this response from the parents, in turn, predicted relatively fewer deviant affiliations when the youths were 15 or 16. Study findings are discussed in terms of their relevance to the disproportionately high rates of sexually transmitted infections among African Americans.     

Exhibitionists: sexual preferences for exposing

An assessment of the sexual preferences of exhibitionists and matched non-offenders, revealed greater arousal to scenes of exposing among the offenders but the actual degree of deviant preferences was not marked. Closer analyses of the individual response profiles, using various criteria for deviance, indicated that only a small proportion of exhibitionists displayed deviant arousal. We take these results, along with the findings from previous research, to deny the primacy of sexual motivation in exhibiting behavior. We also consider these results to indicate that there is little value in determining the sexual preferences of exhibitionists when planning treatment or estimating their risk to re-offend.     

Examining the Use of Sex to Cope in a Forensic Sample

The authors examined differences between sexual and mentally disordered offenders on the Coping Using Sex Inventory. Sexual offenders were more likely to use sex to cope with negative life events but did not use all forms of deviant sexual activity.     

Resistance to satiation of consummatory and instrumental performance

In three experiments rats received training in a straight alley under high hunger and then were tested satiated. Both eating and running continued to occur under satiation, but the two responses were not completely correlated, and continued running did not depend upon continued eating. Further, groups differed in their eating behavior, although all experienced the same satiation procedure, suggesting that eating under satiation is not just a reflection of incomplete satiation. Resistance to satiation of the running response was greater following partial reward than following consistant reward and tended to be greater following small reward training than large reward training, regardless of schedule of reward. Eating during satiation was greater following partial than following consistent reward and was greater if the same reward magnitude was given in satiation as in acquisition than if a different reward magnitude was given. It was suggested that resistance to satiation is an associative phenomenon. Eating and running occur during satiation because the stimuli present during satiation continue to elicit them. The differences between results using rewarded satiation and results using high drive extinction as measures of persistence were attributed to satiation being nonfrustrating.     

Macro and Micro Views of Erotic Tourism

This article examines the deviant phenomenon of erotic tourism from both macro and micro level perspectives. The current study deals exclusively with erotic tourism involving the provision of a sexual experience for male tourists either as voyeurs or participants in sex acts with females. The origins of the industry are discussed as well as its implications for sexual deviance.     

Deviant sexual arousal,offense history,and demographic variables as predictors of reoffense among child molesters

The present study examined selected demographic and offense history variables and deviant sexual arousal as predictors of reoffense in a group of 35 untreated child molesters. The measure of deviant sexual arousal was based on laboratory measures of sexual preference using penile plethysmography. Factor analysis of the predictor variables yielded three factors. The measure of deviant arousal, the amount of force used in the offense, whether or not the offender had intercourse with the child victim, and the number of previous victims loaded on the first factor, called Sexual Deviance. IQ and socioeconomic status loaded on the second factor, called Social Status. Age of the offender and age of the victim loaded on the third factor, called Offender Age. Entering the sets of three factor scores as predictors in a multiple correlation, over 20% of the variance in recidivism was explained, but the factor Sexual Deviance was the only significant predictor of recidivism (p < .02). Almost 30% of the variance in number of reoffenses was explained, and both Sexual Deviance (p < .01) and Social Status (p < .10) were significant predictors. A cluster analysis identified a group of offenders characterized by low SES and low IQ who also showed higher sexual deviance scores and a high rate of reoffense.     

Orgasmic reconditioning without deviant imagery: a case report with a pedophile

A male pedophile was treated with a modified form of orgasmic reconditioning that, contrary to previous approaches, did not utilize deviant imagery during treatment. Pretreatment assessment of sexual arousal indicated high responsiveness to the stimuli of young girls, while responsiveness to adult females was almost absent. Treatment consisted of having the subject masturbate to ejaculation while speaking fantasies concerning adult females aloud. Four hours after the masturbation sessions, the subject underwent a measurement session in which his response to three deviant and three non-deviant slides were evaluated and attitude measures administered. Results showed a considerable increase in response to slides of female adults and a decline in response to slides of female children. Follow-up measurement sessions indicated that treatment gains were maintained 2 months following the end of treatment. These results suggested that in some cases the use of deviant imagery during orgasmic reconditioning is not necessary to facilitate treatment. It was also suggested that a comprehensive change in sexual orientation is more than a conditioning process and requires a modification of an individual's self-perception of his/her sexual identity.     

Concurrent access to two concentrations of orally delivered phencyclidine: effects of feeding conditions.

Two experiments addressed the effects of food satiation and deprivation on oral self-administration of two concurrently available phencyclidine concentrations. In the first experiment, 8 rhesus monkeys self-administered either of two concentrations of phencyclidine ("PCP, angel dust") and water under concurrent fixed-ratio 16 schedules. One concentration was always held constant (0.25 mg/mL) while a series of other phencyclidine concentrations, ranging from 0 (water) to 1.0 mg/mL, was presented in a nonsystematic order. Initially the monkeys were tested while food satiated, and the procedure was then repeated during food deprivation. The monkeys usually selected the higher concentration within the first few minutes of the session, indicating that taste and/or other immediate postingestional effects were important factors. Contrary to a number of previous reports, there were no consistent differences across subjects in the mean number of liquid deliveries or mean drug intake (mg/kg) during food satiation and deprivation. However, for all monkeys the within-session time course of responding during food satiation consistently differed from that during deprivation. A second experiment assessed whether the failure to find consistent differences in drug intake during food satiation and deprivation had been due to the history of concurrent access to different phencyclidine concentrations or to the extended experience with phencyclidine under food-satiation conditions. Six additional monkeys (Group 2) were exposed to the phencyclidine self-administration procedure (during food satiation and deprivation) for the same length of time as the monkeys in Experiment 1 (Group 1), except they received only concurrent access to phencyclidine (0.25 mg/mL) and water. Both groups then received concurrent access to phencyclidine and water during five repeated cycles of food deprivation and satiation. There were also marked individual differences in Group 2: During food satiation, 2 of the monkeys' responding increased, 1 showed no change, and 3 decreased. Examination of a number of historical variables indicated that the greater the percentage of total sessions spent during food satiation with phencyclidine available (before these experiments began), the greater the amounts of phencyclidine consumed during food satiation and the smaller the differences in phencyclidine intake when the two feeding conditions were compared.